<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.21.04.06" title_num="10" subtitle_num="21" chapter_num="04" heading="Licensure.">
  <paragraph num="A.">
    <text>Initial License.</text>
    <paragraph num="(1)">
      <text>Within 90 days of receipt of an application completed according to Regulation .05B of this chapter, the Department's designated licensure unit:</text>
      <paragraph num="(a)">
        <text>Shall:</text>
        <paragraph num="(i)">
          <text>Evaluate the application;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Meet with the applicant; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Conduct an on-site review to inspect the physical plant and evaluate the proposed group home; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>May ask the group home program director to submit a program improvement plan regarding deficiencies cited by the licensure unit.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Based on the evaluation conducted under §A(1)(a) and the results of the plan under §A(1)(b) of this regulation, the Secretary shall either:</text>
      <paragraph num="(a)">
        <text>Issue a license for a period of 2 years, if the group home:</text>
        <paragraph num="(i)">
          <text>Has no deficiencies that constitute a threat to the health, safety, or welfare of the individuals served; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Complies with the requirements outlined in this chapter and COMAR 10.21.17, 10.21.21, and 10.21.22; or</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Propose to deny a license.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>If the Secretary takes the action in §A(2)(b) of this regulation, the Secretary shall advise the applicant of hearing rights, as described in Regulation .12 of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Renewal License.</text>
    <paragraph num="(1)">
      <text>If a group home licensee proposes to continue to operate, the licensee shall file an application for renewal:</text>
      <paragraph num="(a)">
        <text>At least 60 days before the expiration of the current license;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>With the Department's designated licensure unit, with copies to the CSA and the Administration; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>On the form approved by the Department with the requirement that all questions be answered and all required documents be attached.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Upon receipt of an application for renewal, the Department's designated licensure unit:</text>
      <paragraph num="(a)">
        <text>Shall conduct an on-site evaluation of the group home; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>May ask the group home program director to submit a program improvement plan regarding deficiencies cited by the licensure unit.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Based on the evaluation under §B(2)(a) and the results of the plan under §B(2)(b) of this regulation, the Secretary shall either:</text>
      <paragraph num="(a)">
        <text>Issue a license for a period of 2 years, if the group home:</text>
        <paragraph num="(i)">
          <text>Has operated satisfactorily under the current license; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Complies with the requirements outlined in this chapter and COMAR 10.21.17, 10.21.21, and 10.21.22; or</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Propose to deny a license.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>If the Secretary takes the action in §B(3)(b) of this regulation, the Secretary shall advise the applicant of hearing rights, as described in Regulation .12 of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Waivers and Variances.</text>
    <paragraph num="(1)">
      <text>Waivers. The Secretary may not waive the requirements of any regulation adopted under this chapter.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Variances.</text>
      <paragraph num="(a)">
        <text>The Secretary may grant a variance to a regulation if the Secretary:</text>
        <paragraph num="(i)">
          <text>Receives a written request from a program; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Finds that the intent of the regulation to which a variance is sought is met by the alternative proposed by the program.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>The Secretary may not grant a variance that would endanger the health or safety of the individuals served.</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The Secretary may grant a variance that:</text>
        <paragraph num="(i)">
          <text>Remains in effect for as long as the program continues to comply with the conditions under which the variance is granted; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Is time limited.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>The Secretary shall issue a written decision, including the reason or reasons for granting or not granting the variance, and shall:</text>
        <paragraph num="(i)">
          <text>Send the decision to the program for inclusion in the program's official file; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Enter the decision in the records of the Department.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>